Clinical Nurse Specialist CNS Adult Practice Test - Question List

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36. A nurse is caring for a client admitted due to bowel obstruction and a nasogastric tube is about to be inserted, as ordered. The nurse knows that nasogastric tube is inserted to:
  1. Remove stomach fluid contents and gas
  2. Remove contents and gas in the small and large bowel
  3. Control bleeding
  4. Remove bile
37. A nurse is providing discharge instructions to a 75-year-old client who had surgery to remove a cataract from her left eye. The nurse should include which of the following instructions?
  1. Use an eye shield continuously
  2. Increase fiber intake
  3. Wipe excess drainage from the outer to inner canthus
  4. Resume all activities immediately
38. A nurse is assessing a client with peripheral arterial disease. The client’s pulses are not palpable in the left foot or leg. The nurse’s most immediate action is which of the following?
  1. Notify the physician
  2. Re-assess in 30 minutes
  3. Administer vasodilators, as prescribed
  4. Verify the assessment with Doppler ultrasonography
39. A client is diagnosed with trichomoniasis. On assessment, the nurse notes which of the following signs and symptoms?
  1. Dysuria and mucoid purulent vaginal discharge
  2. Frothy, green or gray vaginal discharge
  3. Thin, grayish-white vaginal discharge that smells fishy
  4. Thick, white, cottage cheese-like vaginal discharge
40. A nurse is delegating nursing activities to the nursing assistant. The female client being cared for has been diagnosed with fluid volume deficit due to massive bleeding. The client was accidentally shot. Which of the following activities can be safely delegated to the nursing assistant?
  1. Regulate the IV rate.
  2. Monitor fluid intake and output.
  3. Teach the client to accurately measure the fluid intake.
  4. Report decreased urine output.

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